Individual provider Active NPI

Josefina Andrea Valdivieso, PA-C

  • Medical Physician Assistant
  • Bethlehem, PA
National Provider Identifier
1902800394
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA050642 Issued in PA
Practice address
2775 Schoenersville Rd
Bethlehem, PA 18017-7307
Phone
(610) 861-8080
Fax
(610) 807-0366
NPI assigned
Jun 13, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA050642 PA
Medical Physician Assistant 363AM0700X MA050642 PA Primary

Addresses

Primary practice location

2775 Schoenersville Rd
Bethlehem, PA 18017-7307

Mailing address

2775 Schoenersville Rd
Bethlehem, PA 18017-7307
Phone (610) 861-8080

Other identifiers 4

IdentifierTypeStateIssuer
438549OtherHEALTHAMERICA/HEALTHASSUR
1958671OtherHIGHMARK BLUE SHIELD
50068245OtherCAPITAL BLUE CROSS
50068245OtherKEYSTONE HEALTH CENTRAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050512000613 PA Practitioner - Physician Assistant 9739120452 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

1210 S Cedar Crest Blvd
Allentown, PA 18103-6235
Phone (610) 402-3888

14351 Kutztown Rd
Fleetwood, PA 19522-9273
Phone (610) 944-8800

200 Schuylkill Medical PLZ
Pottsville, PA 17901-3660
Phone (570) 621-9270

2100 Mack Blvd
FL 4
Allentown, PA 18103-5622

5649 Wynnewood Dr
Laurys Station, PA 18059-1124

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA050642PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Physician Services of Maryland, PC Physician Assistant CurrentSince Nov 1, 2018 Accepting new patients
Lehigh Valley Physician Group CurrentSince Jul 3, 2023 Accepting new patients
Schuylkill Health System Medical Group, Inc. CurrentSince Jul 1, 2021 Accepting new patients
Lehigh Valley Physician Group CurrentSince Jul 3, 2023 Accepting new patients
Humboldt Emergency Physicians LLC Physician Assistant Past Accepting new patients
Regents of the University of California - Ucsd Medical Group Past Accepting new patients
Pulmonary Associates PC Past Accepting new patients

Locations

2775 Schoenersville Rd
Bethlehem, PA 18017

2101 Emrick Blvd
Ste 101
Bethlehem, PA 18020
Phone (484) 895-3360

300 Highland Ave
Hanover, PA 17331
Phone (717) 316-3711

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

3701 Corriere Rd
Ste 10
Palmer Township, PA 18045
Phone (484) 591-7060

3701 Corriere Rd
Ste 14
Palmer Township, PA 18045
Phone (484) 591-7010

101 W 7th St
Pennsburg, PA 18073
Phone (215) 679-3200

700 E Norwegian St
Pottsville, PA 17901
Phone (570) 621-4000

200 Schuylkill Medical Plz
Pottsville, PA 17901
Phone (570) 621-9200

700 Schuylkill Manor Rd
Ste 3
Pottsville, PA 17901
Phone (570) 621-4440

2500 Bernville Rd
Reading, PA 19605
Phone (610) 378-2300

2741 MacArthur Rd
Whitehall, PA 18052
Phone (610) 403-6000

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1902800394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2775 SCHOENERSVILLE RD",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180177307",
            "telephone_number": "610-861-8080",
            "fax_number": "610-807-0366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2775 SCHOENERSVILLE RD",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180177307",
            "telephone_number": "610-861-8080",
            "fax_number": "610-807-0366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDIVIESO",
        "first_name": "JOSEFINA",
        "middle_name": "ANDREA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-13",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA050642",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA050642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHAMERICA/HEALTHASSUR",
            "identifier": "438549",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "1958671",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50068245",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH CENTRAL",
            "identifier": "50068245",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.